USRC SA TRI COUNTY LLC – End-Stage Renal Disease (ESRD) Treatment Clinic/Center, NPI 1477512895
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for USRC SA TRI COUNTY LLC
14832 Main St
Lytle, TX 780529641
Phone: (830) 772-5784
Fax: (830) 772-5793
Type: Location
Jack in the Box, Central Expressway, Plano, Collin County, Texas, 75-75, United States
PLANO, TX 750251500
Phone: (870) 931-5400
Fax: (870) 931-5418
Type: Mailing
Interstate 35 South, Lytle, Atascosa County, Texas, 78052, United States
LYTLE, TX 780523547
Phone: (830) 772-5784
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20041130000658 | O | End-Stage Renal Disease Facility (Esrd) | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78052)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.